Miðgarður 15, 700 Egilsstaðir. Two-story residential building, built in 1985. Main entrance is at ground level, no elevator. Parking available in front of the building. No known security features. Current conditions: 8°C, clear skies, good visibility. GPS coordinates: 65.2642° N, 14.3947° W. Nearest landmark: Egilsstaðir Swimming Pool.
65-year-old female, experiencing severe abdominal pain and vomiting. Primary symptoms: Intense, cramping abdominal pain, located in the lower abdomen, radiating to the back. Secondary symptoms: Nausea, repeated vomiting (3 times in the last hour), dizziness. Patient is pale and sweating. Patient is conscious and alert but distressed. Medical history: Type 2 diabetes, managed with Metformin 1000mg twice daily, history of mild diverticulosis. No known allergies. Last meal was a light lunch at 13:00. No recent travel history.
Timeline: 1400 hours: Patient started experiencing mild abdominal discomfort. 1430 hours: Pain intensified, becoming cramping and severe. 1445 hours: Patient experienced first episode of vomiting. 1500 hours: Second and third episodes of vomiting, feeling dizzy and weak. 1510 hours: Patient called emergency services. 1515 hours: Current time, patient still experiencing severe pain and nausea, feeling weak and sweating. Prior Events: Patient has had mild diverticulitis episodes in the past, managed conservatively. No recent changes in diet or medication. No recent infections or illnesses. Last medical check-up 6 months ago, routine diabetes follow-up.
Initial Impression: Suspected Acute Diverticulitis Flare-Up Justification for F3 Classification: - Significant abdominal pain and vomiting, indicating a potential inflammatory process. - Patient has a history of diverticulosis, making diverticulitis a likely differential. - Condition is time-sensitive but not immediately life-threatening, requiring medical evaluation within a reasonable timeframe. Differential Diagnoses: 1. Acute Diverticulitis (high probability) 2. Gastroenteritis (less likely due to severity and location of pain) 3. Bowel Obstruction (possible, but less likely given lack of complete obstruction symptoms) 4. Renal Colic (less likely, no reported flank pain or hematuria) 5. Pancreatitis (less likely, no reported upper abdominal pain) Required Actions: - Dispatch of ground EMS with BLS capabilities - Pain management assessment and initiation if needed - Monitoring of vital signs - Transport to nearest hospital for further evaluation and treatment